How much rates vary
Facilitymedian $1,585 · 10th to 90th $589 to $5,495Professionalmedian $575 · 10th to 90th $363 to $1,023
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $371.54 Median $5,370.32 Typical High $7,762.47 | Facility | None | $371.54 | $5,370.32 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $575.44 Typical High $1,258.93 | Professional | None | $371.54 | $575.44 | $1,258.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $1,148.15 Typical High $5,754.40 | Facility | None | $575.44 | $1,148.15 | $5,754.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $331.13 Median $501.19 Typical High $891.25 | Professional | None | $331.13 | $501.19 | $891.25 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $588.84 Median $794.33 Typical High $1,412.54 | Professional | 50 · Both sides | $588.84 | $794.33 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,905.46 Typical High $2,511.89 | Facility | None | $602.56 | $1,905.46 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $691.83 Typical High $1,202.26 | Professional | None | $416.87 | $691.83 | $1,202.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $660.69 Typical High $933.25 | Professional | None | $407.38 | $660.69 | $933.25 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,479.11 Typical High $5,011.87 | Facility | None | $851.14 | $1,479.11 | $5,011.87 |
United Setting Professional Modifier None Typical Low $371.54 Median $676.08 Typical High $1,288.25 | Professional | None | $371.54 | $676.08 | $1,288.25 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $245.47 Typical High $302.00 | Professional | 52 · Reduced service | $186.21 | $245.47 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $97.72 Typical High $120.23 | Professional | 53 · Discontinued | $74.13 | $97.72 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $371.54 Typical High $446.68 | Professional | 54 · Surgery only | $275.42 | $371.54 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $74.13 Typical High $89.13 | Professional | 55 · Aftercare only | $56.23 | $74.13 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $48.98 Typical High $60.26 | Professional | 56 · Pre-op care only | $37.15 | $48.98 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $346.74 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $257.04 | $346.74 | $416.87 |
Where Georgia sits
The same service costs 4.7 times more in Colorado than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Physician feeFacility fee
CO $6,438MT $1,383
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.